Implantable cardioverter defibrillator and inappropriate therapy: "black box" examination yielded both human and technical causes.

Clin Med Insights Case Rep

Electrophysiology Unit, Cardiology division, USEK- NDS University Hospital, St Charbel Street, Byblos, Lebanon.

Published: December 2013

AI Article Synopsis

  • A 70-year-old male patient with a GEM III DR 7275 Cardioverter Defibrillator experienced inappropriate shocks despite having slow ventricular tachycardia (VT).
  • The device was set to identify VT over 100 bpm, fast VT (FVT) over 150 bpm, and ventricular fibrillation (VF) over 188 bpm.
  • After detecting FVT and delivering effective therapy, the patient received several inappropriate shocks, prompting a discussion on device programming features to address this issue.

Article Abstract

We report on a 70-year-old male patient who was recipient of GEM III DR 7275 Cardioverter Defibrillator, and who presented with inappropriate shocks. The patient had a documented slow ventricular tachycardia (VT), and the device was programmed to detect VT at rates >100 bpm, fast VT (FVT, via VT) at rates >150 bpm, and ventricular fibrillation (VF) at rates >188 bpm. After detection of FVT, efficient therapy was delivered; however, this was immediately followed by multiple inappropriate therapies. Inappropriate therapies were discussed, with a focus on programming features.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859824PMC
http://dx.doi.org/10.4137/CCRep.S13380DOI Listing

Publication Analysis

Top Keywords

cardioverter defibrillator
8
inappropriate therapies
8
implantable cardioverter
4
inappropriate
4
defibrillator inappropriate
4
inappropriate therapy
4
therapy "black
4
"black box"
4
box" examination
4
examination yielded
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!